| Siskiyou Community Health Center Dental Facility | |
|
1701 Nw Hawthorne Ave Grants Pass OR 97526-1051 | |
| (541) 479-6393 | |
| (541) 479-6489 |
| Full Name | Siskiyou Community Health Center Dental Facility |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1701 Nw Hawthorne Ave, Grants Pass, Oregon |
| Authorized Official Name and Position | Richard Booth (CEO) |
| Authorized Official Contact | 5414713455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Siskiyou Community Health Center Dental Facility 1701 Nw Hawthorne Ave Grants Pass OR 97526-1051 Ph: (541) 479-6393 | Siskiyou Community Health Center Dental Facility 1701 Nw Hawthorne Ave Grants Pass OR 97526-1051 Ph: (541) 479-6393 |
| NPI Number | 1205002136 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 10/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205002136 | NPI | - | NPPES |
Southern Oregon Dental L.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 Union Ave, Grants Pass, OR 97527 Phone: 541-476-7781 Fax: 541-471-9366 | |
Richard P Miller Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Ne 7th St, Ste B, Grants Pass, OR 97526 Phone: 541-476-4667 Fax: 541-476-3669 | |
Accessible Mobile Dental Hygiene Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1108 Sw Ironwood Dr, Grants Pass, OR 97526 Phone: 541-476-8338 | |
Accessible Mobile Dental Hygiene Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4542 Averill Dr, Grants Pass, OR 97526 Phone: 541-295-1264 | |
Mart D Erickson Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1224 Ne 7th St, Grants Pass, OR 97526 Phone: 541-476-3419 Fax: 541-476-6985 | |
Johnston Dental Care Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1215 Ne 7th St Ste A, Grants Pass, OR 97526 Phone: 541-479-6623 Fax: 541-479-6776 | |
Daniel J Garey, Dds,ms Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 570 Ne E St, Grants Pass, OR 97526 Phone: 541-476-2166 Fax: 541-476-2152 |